11-47438006-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_005055.5(RAPSN):​c.1208G>A​(p.Arg403His) variant causes a missense change. The variant allele was found at a frequency of 0.00000715 in 1,398,146 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R403C) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000072 ( 0 hom. )

Consequence

RAPSN
NM_005055.5 missense

Scores

1
2
16

Clinical Significance

Uncertain significance no assertion criteria provided U:1

Conservation

PhyloP100: 3.64
Variant links:
Genes affected
RAPSN (HGNC:9863): (receptor associated protein of the synapse) This gene encodes a member of a family of proteins that are receptor associated proteins of the synapse. The encoded protein contains a conserved cAMP-dependent protein kinase phosphorylation site, and plays a critical role in clustering and anchoring nicotinic acetylcholine receptors at synaptic sites by linking the receptors to the underlying postsynaptic cytoskeleton, possibly by direct association with actin or spectrin. Mutations in this gene may play a role in postsynaptic congenital myasthenic syndromes. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Apr 2011]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.21428993).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RAPSNNM_005055.5 linkuse as main transcriptc.1208G>A p.Arg403His missense_variant 8/8 ENST00000298854.7
LOC124902673XR_007062669.1 linkuse as main transcriptn.144+239C>T intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RAPSNENST00000298854.7 linkuse as main transcriptc.1208G>A p.Arg403His missense_variant 8/81 NM_005055.5 P1Q13702-1
RAPSNENST00000352508.7 linkuse as main transcriptc.1031G>A p.Arg344His missense_variant 6/61 Q13702-2
RAPSNENST00000524487.5 linkuse as main transcriptc.1049G>A p.Arg350His missense_variant 7/75
RAPSNENST00000528356.1 linkuse as main transcriptn.163G>A non_coding_transcript_exon_variant 2/23

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000128
AC:
2
AN:
156310
Hom.:
0
AF XY:
0.0000122
AC XY:
1
AN XY:
82250
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000883
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000166
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000715
AC:
10
AN:
1398146
Hom.:
0
Cov.:
31
AF XY:
0.00000580
AC XY:
4
AN XY:
689564
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000280
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000741
Gnomad4 OTH exome
AF:
0.0000173
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Congenital myasthenic syndrome Uncertain:1
Uncertain significance, no assertion criteria providedclinical testingNatera, Inc.Aug 13, 2020- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.36
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.054
T;.;.
Eigen
Benign
0.055
Eigen_PC
Benign
0.15
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Benign
0.85
T;T;T
M_CAP
Benign
0.072
D
MetaRNN
Benign
0.21
T;T;T
MetaSVM
Benign
-0.84
T
MutationAssessor
Pathogenic
3.2
M;.;.
MutationTaster
Benign
0.99
D;D;D
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-1.1
N;N;.
REVEL
Benign
0.087
Sift
Benign
0.34
T;T;.
Sift4G
Benign
0.11
T;T;T
Polyphen
0.51
P;B;.
Vest4
0.15
MutPred
0.31
Loss of MoRF binding (P = 0.0259);.;.;
MVP
0.70
MPC
0.20
ClinPred
0.85
D
GERP RS
4.4
Varity_R
0.085
gMVP
0.55

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs1425380499; hg19: chr11-47459557; API